EBC - ON DEMAND
European Bifurcation Club 2011, EBC 2011 – Lisbon, Portugal
HOT NEWS SESSION
A new bifurcation bench
Author: Nicolas Foin, MD, Imperial College, Feops, Gent University and the Royal Brompton NHS Trust, London
RESULTS KB vs SB-MV SEQUENCE
- Ostial stenosis is considerably reduced after dilatation of the SB
- Strut malapposition in the bifurcation is reduced with SB dilatation followed by KB or SB-MV
- No proximal malapposition risk with sequen.al SB-MV 2-Step approach
LIMITATIONS
- SB recrossing was optimised and balloon position controlled
- Leaving a balloon deflated in the MV guaranty the re-expansion after SB dilatation (in case stent is pulled toward the SB)
- Need to evaluate risk of carina shift
- No lesion
FUTURE DIRECTIONS
- Is KB more suited for certain anatomy ? Y-shape anatomy, Left-Main
- Other sequential techniques (SMS, POT, etc…)